Pattern of Dermatological Cases Attending Skin-VD Outpatient Department in a Medical College Hospital of Bangladesh

Abstract

Background: The pattern of skin diseases varies from one country to another and even from region to region of the same country. We are geographically placed in the tropical region with natural outcome of communicable diseases. We conducted this cross sectional study in a tertiary hospital of Bangladesh keeping the proposition in mind that infectious diseases occupy maximum percentage among skin and venereal diseases in outpatients in Bangladesh.Objectives: To classify the diseases attending the Skin & VD outpatient department of Enam Medical College Hospital (EMCH) and to draw comments and recommendations on the basis of findings.Materials and Methods: All patients irrespective of age and sex attending the OPD of Skin-VD Department of Enam Medical College Hospital during a 2-year time-period (from January 2009 to December 2010) were included in the study. Structured questionnaire, check-list and face-to-face interview (whenever necessary) were used as tools of data collection. Statistical analyses were done by SPSS version Windows 11.1.Results: Total number of patients was 12100. Most of the patients were aged (>18 years; 64.28%), dominated by male (61.63%), married (56.1%), literate (71.11%), coming from far (>5 km; 63.5%) and of middle class origin (59.73%). Out of the total cases, maximum (23.42%) were diagnosed as eczema, followed by infectious diseases (17%), acne (8.69%) and psoriasis (6.36%).Conclusion: In this study we found infectious diseases to occupy the second position next to eczema and our findings nullify the proposition that infectious diseases occupy maximum percentage among skin and venereal diseases in outpatients in Bangladesh. DOI: http://dx.doi.org/10.3329/jemc.v1i2.11465 J Enam Med Col 2011; 1(2): 67-70

"Fungal Skin Diseases and Related Factors in Outpatients of Three Tertiary Care Hospitals of Dhaka, an Urban City of Bangladesh: Cross-Sectional Study"

“…In 1995, Bahmadan et al [22] There are several studies conducted in Bangladesh had found different results than ours. According to them, the prevalence was higher is rural areas [15], among students [10], patients from low socio-economic status [9], among illiterate patients [9,10], in rainy season [8]. According to Khanum et al 52.16% of the patients with low socio-economic status showed a high reoccurrence of skin disease which contradicts our study result [8].…”

“…Approximately, 40% of people live in urban cities and the highest 10.3 million people live in Dhaka city [7]. Several papers have studied common skin and venereal diseases in Bangladesh [8][9][10][11][12][13][14] but our paper is specifically concerned about fungal skin diseases and their associated factors in three tertiary care hospitals of an urban city, Dhaka, Bangladesh.…”

Eczema among the Outdoor Diabetic Patients of Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM) Hospital, Dhaka

“…But a profile of skin diseases was done in children of Saurashtra in India 6 , which revealed 8.5% were eczema cases. Another study 13 in Enam Medical College revealed 23.42% eczema cases among the patients attending Skin VD OPD. But in this study it was high in 40-49 years, probably due to the higher proportion of diabetic patients in that age group.…”

“…12 Another study conducted on skin and sexually transmitted diseases at Enam Medical Collage Hospital (2009-10) revealed that in 12100 patients the percentage of eczema was 23.42%. 13 Eczema is one of the most important skin diseases which cause the public health problem. 14 Though it causes negligible mortality but most of the cases of eczema have chronic course and sufferings.…”

Pattern of Skin Disease of Patients Attending Skin &Vd Opd in a Private Medical College Hospital in Chittagong

“…Disease pattern of a given population is generally determined by different ecological and other factors [2]. Customs, habits, religious beliefs, languages, climate are not so varied in different parts in this country, but socio-economic conditions and ignorance play vital role for various presentations of dermatological condition [3]. In a subtropical, just landing in a lower middle income economic country like Bangladesh, poverty, illiteracy, lack of awareness, unhygienic condition along with pollutions from of rapid industrialization have their effects increasing the burden of skin diseases [4].…”